Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Therese A Birkam-Jade, PA-C

Individual provider Physician Assistant · NPI 1124112982

Therese A Birkam-Jade, PA-C is a Physician Assistant in Portage, Michigan. Qualified in 2003, 23 years ago. Practices with Advanced Dermatology of Michigan PC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6100 Newport Rd Ste 100
Portage, MI 49002-9235
Phone: (269) 343-4679
Fax: (269) 343-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004670 (MI)

Record details

NPI number1124112982
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESNovember 14, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Advanced Dermatology Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portage